Pase de Salida Materiales

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ENTRADA Y SALIDA DE MATERIAL FECHA: NOMBRE DE COMPAÑÍA CONTRATISTA:_______________________________ NOMBRE DEL RESPONSABLE DE LOS MATERIALES: FIRMA DEL RESPONSABLE: DESCRIPCION DE MATERIALES: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ DESTINO FINAL (DOMICILIO COMPLETO Y TELEFONO) _______________________________________________________________________ CALLE_________________________________________________________________ COLONIA_______________________________________________________________ _______________________________________________________________________ FIRMA DE ENTERADO DE SEGURIDAD H Y A

description

Pase para retirar material y/o equipo de Obra

Transcript of Pase de Salida Materiales

Page 1: Pase de Salida Materiales

ENTRADA Y SALIDA DE MATERIAL

FECHA:

NOMBRE DE COMPAÑÍA CONTRATISTA:_______________________________

NOMBRE DEL RESPONSABLE DE LOS MATERIALES:

FIRMA DEL RESPONSABLE:

DESCRIPCION DE MATERIALES:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

DESTINO FINAL (DOMICILIO COMPLETO Y TELEFONO)

_______________________________________________________________________CALLE_________________________________________________________________COLONIA______________________________________________________________________________________________________________________________________

FIRMA DE ENTERADO DE SEGURIDAD H Y A

Page 2: Pase de Salida Materiales

PASE DE SALIDA DE MATERIALES

FECHA:

NOMBRE DE COMPAÑÍA CONTRATISTA:_______________________________

NOMBRE DEL RESPONSABLE DE LOS MATERIALES:

FIRMA DEL RESPONSABLE:

DESCRIPCION DE MATERIALES:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

DESTINO FINAL (DOMICILIO COMPLETO Y TELEFONO)

_______________________________________________________________________CALLE_________________________________________________________________COLONIA______________________________________________________________________________________________________________________________________

FIRMA DE ENTERADO DE SEGURIDAD H Y A